NPI | 1881340354 |
---|---|
Doing Business As | LWSS FAMILY DENTISTRY - VIRGINIA BEACH - KEMPSVILLE RD. ORTHO |
Entity Type | Organization |
Authorized Contact | HILLARY THULL Credentialing Coordinator 217-540-8946 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2022-02-23 |
Last Update Date | 2022-03-03 |